2011-10-14T13:00:05-05:00 2010-12-31 CROWE HORWATH LLP 70 West Madison Street Suite 700 Chicago IL 606024903 990 2010-01-01 237125454 PULASKI HEALTH FOUNDATION INC PULA 5749463394 624 East 13th Street Winamac IN 46996 SCOTT FRITZ 2011-10-14 true 3128997000 2010 2016-03-07 17:11:31Z PULASKI HEALTH CARE CENTER SHARON K MCKINLEY 624 East 13th Street Winamac IN 46996 4129068 false X WWW.PULASKIHEALTHCARECENTER.COM X 1959 IN AS A NOT-FOR-PROFIT, SKILLED NURSING FACILITY, PULASKI HEALTH CARE CENTER IS DEDICATED TO ENHANCING THE LIVES OF OLDER ADULTS THROUGH QUALITY HEALTH CARE. 9 9 117 39 1673 0 9501 3499 3674150 4075139 23837 9292 35858 34200 3743346 4122130 0 0 0 0 2495081 2423535 0 0 0 1290312 1396768 3785393 3820303 -42047 301827 3112208 3315271 1504539 1405032 1607669 1910239 X AS A NOT-FOR-PROFIT, SKILLED NURSING FACILITY, PULASKI HEALTH CARE CENTER IS DEDICATED TO ENHANCING THE LIVES OF OLDER ADULTS THROUGH QUALITY HEALTH CARE. false 3315015 0 4089928 DIGNITY, QUALITY OF LIFE, AND PROFESSIONAL COMPETENCE - THIS IS THE FOUNDATION OF CARE YOU CAN EXPECT AT PULASKI HEALTH CARE CENTER (PHCC). WHEN A FAMILY MEMBER OR LOVED ONE IS NO LONGER ABLE TO CARE FOR HIMSELF OR HERSELF, WE OFFER COMFORTABLE, SECURE, LIFE CARE IN A SUPPORTIVE ENVIRONMENT. AS A NOT-FOR-PROFIT, SKILLED NURSING FACILITY, PHCC IS DEDICATED TO ENHANCING THE LIVES OF OLDER ADULTS THROUGH QUALITY HEALTH CARE. THE CENTER WAS DEVELOPED AND BUILT BY THE PULASKI HEALTH FOUNDATION, A NOT-FOR-PROFIT ORGANIZATION, WHOSE PRIMARY GOAL WAS TO DESIGN A FACILITY IN PULASKI COUNTY THAT PROVIDED SUPERIOR LONG-TERM CARE FOR OLDER ADULTS. (CONTINUED IN SCHEDULE O) 3315015 true false false true false false false true true true false false false false true false false false false false false false false false false false false false false false false false false false false false false false false false false false true true true false false true 12 0 true 117 true true true false false false false false false false false false X 9 9 false false false false false false false true true false false true true true true true true true false false IN X SHARON K MCKINLEY 5749463394 624 EAST 13TH STREET WINAMAC IN 46996 SHARON MCKINLEY 50 X 58999 0 7584 RITA MURRAY 1 X 0 0 0 LIN MORRISON 1 X X 0 0 0 JAMES PIERROU 1 X X 0 0 0 JOHN GOBLE 1 X X 0 0 0 LAURA BAILEY 1 X X 0 0 0 ROBERT LIZENBY 1 X 0 0 0 LINDA MURPHY RN 1 X 0 0 0 SCOTT FRITZ 1 X X 0 0 0 CAROL WIDNER 1 X 0 0 0 58999 0 7584 0 false false false THERACARE INC 9957 ALLISONVILLE RD FISHERS IN 460382006 THERAPY SERVICES 143241 1 3499 3499 RESIDENT SERVICE REVENUE 4075139 4075139 0 0 0 0 4075139 16090 16090 0 0 0 0 0 140 6938 0 -6798 -6798 -6798 0 0 0 BAD DEBT RECOVERY 14789 14789 VENDING/CATERING INCOME 722320 14073 1673 12400 BEAUTY/BARBER SHOP INCOME 4386 4386 952 0 0 952 34200 4122130 4089928 1673 27030 0 0 0 0 66583 66583 0 1984201 1857810 126391 0 222238 208293 13945 150513 136413 14100 0 4067 4067 25630 25630 0 0 0 277492 232508 44984 7359 7359 472466 415818 56648 23871 23871 0 103590 103590 5159 5159 0 0 28301 28301 0 153197 137352 15845 38612 38612 PROVIDER TAXES 186800 186800 BAD DEBT EXPENSE 34449 34449 EMPLOYEE RELATIONS/EDUCATION 22025 22025 BEAUTY/BARBER SHOP EXPENSES 1982 1982 DUES, LICENSES, AND SUBSCRIPTIONS 5727 5727 6041 0 6041 0 3820303 3315015 505288 0 0 500 500 578677 633487 304281 397436 375700 375700 13572 15160 63096 35018 3571697 1958267 1533272 1613430 104569 105311 0 138541 139229 3112208 3315271 201721 211430 6819 8878 1295999 1184724 0 1504539 1405032 X 1520847 1809777 86822 100462 1607669 1910239 3112208 3315271 X 301827 743 X true false true X false X 60637 1918 3254 9501 3499 78809 3270474 3423161 3707509 3674150 4075139 18150433 13450 15828 41217 29540 17738 117773 0 0 3344561 3440907 3751980 3713191 4096376 18347015 0 140460 140460 0 0 0 0 140460 140460 18206555 30803 36983 27374 25748 16090 136998 0 30803 36983 27374 25748 16090 136998 5445 3882 208 38 0 9573 6744 6240 0 4854 14789 32627 3387553 3488012 3779562 3743831 4127255 18526213 0.9827 0.98789 0.0074 0.00797 X OTHER INCOME, SCHEDULE A, PART III, SECTION B, LINE 12, MISCELLANEOUS INCOME RECEIVED IN FURTHERANCE OF THE ORGANIZATION'S TAX-EXEMPT PURPOSE: 2006 - $6,744 2007 - $6,240 2008 - $0 2009 - $4,854 2010 - $14,789, 0 false false false false false false false false true 195 195 false 0 Description of other lobbying activities Schedule C, Part II-B, Line 1i THE ORGANIZATION PAYS ANNUAL DUES TO THE AMERICAN ASSOCIATION OF HOMES AND SERVICES FOR THE AGING (AAHSA) AND THE INDIANA ASSOCIATION OF HOMES AND SERVICES FOR THE AGING (IAHSA). THE FOLLOWING PERCENTAGES OF PROVIDER DUES WERE USED FOR SPECIFIC LOBBYING PURPOSES: AAHSA - 6.2% IAHSA - 5.1% false true 3562 250 549 57 4304 2500 500 584 0 0 22 3562 0 2500 0 0 0 2500 1.000 0.000 0.000 true false 28875 28875 2388178 1297625 1090553 66749 59268 7481 1087895 601374 486521 0 1613430 0 0 Explanation of escrow agreement Schedule D, Part IV, Line 2b THE ORGANIZATION HAS A RESIDENT TRUST ACCOUNT SET UP FOR RESIDENTS' PERSONAL FUNDS. RESIDENTS AND/OR THEIR AUTHORIZED REPRESENTATIVE ARE REQUIRED TO SIGN AN AUTHORIZATION FORM GIVING THE ORGANIZATION THE RIGHT TO MANAGE THE RESIDENTS' PERSONAL FUNDS WHILE HE OR SHE RESIDES AT THE FACILITY. RESIDENTS AND/OR THEIR AUTHORIZED REPRESENTATIVES RECEIVE QUARTERLY REPORTS ACCOUNTING FOR ANY DEPOSITS, INTEREST EARNED, AND WITHDRAWALS FROM THE RESIDENT'S ACCOUNT. Intended uses of endowment funds Schedule D, Part V, Line 4 THE INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUND IS TO SUPPORT THE ORGANIZATION'S ACTIVITIES. FIN 48 (ASC 740) footnote Schedule D, Part X, Line 2 THE ORGANIZATION IS EXEMPT FROM INCOME TAXES ON INCOME FROM RELATED ACTIVITIES UNDER SECTION 501(C)(3) OF THE U.S. INTERNAL REVENUE CODE AND CORRESPONDING STATE TAX LAW. ACCORDINGLY, NO PROVISION HAS BEEN MADE FOR FEDERAL OR STATE INCOME TAXES. U.S. GAAP REQUIRES THAT A TAX POSITION IS RECOGNIZED AS A BENEFIT ONLY IF IT IS "MORE LIKELY THAN NOT" THAT THE TAX POSITION WOULD BE SUSTAINED IN A TAX EXAMINATION, WITH A TAX EXAMINATION BEING PRESUMED TO OCCUR. THE AMOUNT RECOGNIZED IS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED ON EXAMINATION. FOR TAX POSITIONS NOT MEETING THE "MORE LIKELY THAN NOT" TEST, NO TAX BENEFIT IS RECORDED. DUE TO ITS TAX-EXEMPT STATUS, THE ORGANIZATION IS NOT SUBJECT TO U.S. FEDERAL INCOME TAX OR STATE INCOME TAX. THE ORGANIZATION'S FORM 990 HAS NOT BEEN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE OR THE STATE OF INDIANA FOR THE LAST THREE YEARS. THE ORGANIZATION DOES NOT EXPECT THE TOTAL AMOUNT OF UNRECOGNIZED TAX BENEFITS TO SIGNIFICANTLY CHANGE IN THE NEXT 12 MONTHS. THE ORGANIZATION RECOGNIZES INTEREST AND/OR PENALTIES RELATED TO INCOME TAX MATTERS IN INCOME TAX EXPENSE. THE ORGANIZATION DID NOT HAVE ANY AMOUNTS ACCRUED FOR INTEREST AND PENALTIES AT DECEMBER 31, 2010 OR 2009. PROGRAM SERVICE ACCOMPLISHMENTS FORM 990, PART III, LINE 4A (CONTINUED FROM III) PULASKI HEALTH CARE CENTER (PHCC) OFFERS THE SERVICES OUR RESIDENTS NEED, INCLUDING SHORT-TERM RESTORATIVE SERVICES, MEDICARE SHORT STAY SERVICES, AND LONG-TERM CONTINUED CARE. THE COMPREHENSIVE CARE PROGRAM IS DESIGNED TO MEET THE DAILY LIVING NEEDS OF EACH RESIDENT. ALL OF OUR PROGRAMS INCLUDE: -24-HOUR NURSING SERVICES -THERAPIES (PHYSICAL, OCCUPATIONAL, AND SPEECH) -MEAL SERVICE, INCLUDING SPECIAL DIETS -ASSISTANCE WITH MEDICATION, PERSONAL HYGIENE, AND AMBULATION -SOCIAL SERVICES -ACTIVITIES AND RECREATION -LAUNDRY AND HOUSEKEEPING SERVICES THE ORGANIZATION'S OCCUPANCY PERCENTAGE FOR THE YEAR ENDED DECEMBER 31, 2010, WAS 94.91%. WITH 58 LICENSED BEDS AVAILABLE, THE ORGANIZATION'S AVERAGE DAILY RESIDENT CENSUS WAS 55.05. THE ORGANIZATION'S PROGRAM SERVICE REVENUES APPROXIMATED $203 PER RESIDENT PER DAY. IN ADDITION, THE ORGANIZATION PROVIDED $160,175 IN CHARITY CARE DURING 2010. Review of form 990 by governing body Form 990, Part VI, Section B, Line 11b THE FORM 990 IS REVIEWED IN DETAIL BY MANAGEMENT. THEN A COPY OF THE FULL FORM 990, INCLUDING ALL APPLICABLE SCHEDULES, IS PROVIDED TO EACH BOARD MEMBER AND REVIEWED WITH THE ORGANIZATION'S TAX ADVISORS AT A SCHEDULED BOARD MEETING PRIOR TO FILING WITH THE IRS. Conflict of interest policy Form 990, Part VI, Section B, Line 12c ANNUAL DISCLOSURE IS PROVIDED TO EACH OFFICER AND BOARD MEMBER (THE ORGANIZATION DOES NOT HAVE ANY KEY EMPLOYEES OR HIGHEST COMPENSATED EMPLOYEES). EACH BOARD MEMBER AND OFFICER COMPLETES AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE. ONCE THE QUESTIONNAIRES ARE COMPLETED, THE ADMINISTRATOR REVIEWS THE RESPONSES AND DETERMINES WHETHER OR NOT THERE ARE ANY POTENTIAL CONFLICTS OF INTEREST. IF THERE IS A POTENTIAL CONFLICT OF INTEREST, THE ADMINISTRATOR AND THE BOARD PRESIDENT REVIEW THE CORRESPONDING ISSUE AND DETERMINE IF THERE IS AN ACTUAL CONFLICT OF INTEREST. IF AN ACTUAL CONFLICT OF INTEREST IS DETERMINED TO EXIST, THAT PERSON IS EXCLUDED FROM ANY DISCUSSIONS CONCERNING THE CONFLICTING ISSUE AND IS NOT PERMITTED TO VOTE ON ANY DECISIONS REGARDING THE CONFLICTING ISSUE. ANY PURCHASES AND/OR BIDDING PROPOSALS ARE ALSO REVIEWED FOR ANY POTENTIAL CONFLICTS OF INTEREST PRIOR TO SUBMITTING BIDS OR MAKING PURCHASES. THE BOARD PRESIDENT ATTENDS THE BOARD MEETINGS AND ENSURES THAT COMPLIANCE WITH THESE GUIDELINES ARE FOLLOWED. Process used to establish compensation of top management official Form 990, Part VI, Section B, Line 15a THE PROCESS FOR DETERMINING THE COMPENSATION OF THE ORGANIZATION'S ADMINISTRATOR INCLUDED A REVIEW AND APPROVAL BY THE BOARD PRESIDENT AND VICE PRESIDENT, WHO ARE BOTH INDEPENDENT. THE PRESIDENT AND VICE PRESIDENT USED MCKNIGHT'S CAREER GUIDE, WHICH INCLUDED AN AMERICAN ASSOCIATION OF HOMES AND SERVICES FOR THE AGING (AAHSA) NURSING HOME SALARY AND BENEFITS REPORT, AS WELL AS THE MYERS AND STAUFFER LC LONG TERM CARE COMPENSATION REPORT. THE INDIANA ASSOCIATION FOR THE HOMES AND SERVICES OF THE AGING'S SALARY AND WAGE SURVEY IS ALSO REFERENCED FOR THE DECISION PROCESSES. ONCE THE PRESIDENT AND VICE PRESIDENT DETERMINED THE COMPENSATION AMOUNT, THEY REPORTED THEIR FINDINGS AND DECISION TO THE FULL BOARD OF DIRECTORS AT A BOARD MEETING. THIS WAS DOCUMENTED IN THE BOARD MEETING MINUTES, AND WAS LAST DONE IN APRIL OF 2009 FOR THE ADMINISTRATOR'S SALARY. Public Disclosure Form 990, Part VI, Section C, Line 19 A COPY OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. PROCESS USED TO ESTABLISH COMPENSATION OF OTHER OFFICERS/KEY EMPLOYEES FORM 990, PART VI, SECTION B, LINE 15B THE ORGANIZATION HAS NO OTHER OFFICERS OR KEY EMPLOYEES TO REPORT IN PART VII; THEREFORE, THIS QUESTION IS NOT APPLICABLE AND HAS BEEN ASNWERED "NO" IN ACCORDANCE WITH THE FORM 990 INSTRUCTIONS. Other changes in net assets or fund balances Form 990, Part XI, Line 5 CHANGE IN BENEFICIAL INTEREST IN PULASKI COUNTY COMMUNITY FOUNDATION - 743; RIVERWOOD COMMONS LP 624 E 13TH STREET WINAMAC IN 46996 352120174 HOUSING IN NA N/A PULASKI HOUSING ASSOCIATES INC 624 EAST 13TH STREET WINAMAC IN 46996 352120172 APARTMENT RENTAL IN NA C CORPORATION 0 70645 0.75 true false false true false false false false false false false false false false false false false false RIVERWOOD COMMONS LP A 9028 BOOK VALUE RIVERWOOD COMMONS LP D 375700 BOOK VALUE